John Clark Bardole, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

17743 Issued in IA

Practice address

5950 University Ave
Ste 341
West Des Moines, IA 50266-8216

Phone

(515) 875-9800

Fax

(515) 875-9802

NPI assigned

Aug 30, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1841283447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4907",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503064907",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE",
            "address_2": "STE 341",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668216",
            "telephone_number": "515-875-9800",
            "fax_number": "515-875-9802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDOLE",
        "first_name": "JOHN",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "17743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Majed Waleed Barazanji, M.D.
• Barbara E. Evans, M.D., P.C.
• Barbara Petersen-Fox, Lisw, LLC
• Andrew Barbee
• Joseph Bardeen, PHD
• Yvette Marie Bardole, CCC-SLP
• Molly Ann Barnes, ARNP
• Samantha Lynn Barnes, PHARMD
• Shannon L Barnes, L.M.T.
• Joseph Barnett

• Urology Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Urology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.